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Organization
GUADALUPE PHARMACY INC
Active
Organization
GUADALUPE PHARMACY INC
Active
Other names
SANTA MARIA RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SOLIMAN RPH (OWNER)
(562) 630-1620
Entity
Organization
Contact information
Practice address
16444 PARAMOUNT BLVD STE 101, PARAMOUNT, CA 90723-5453
(562) 232-3732
(562) 232-3651
Mailing address
16444 PARAMOUNT BLVD STE 101, PARAMOUNT, CA 90723-5453
(562) 232-3732
(562) 232-3651
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57781
BOARD OF PHARMACY PERMIT
CA
Enumeration date
07/31/2020
Last updated
08/21/2023
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